![]() Mild breaks may be a single crack, while. Tibial Plateau Fractures Isolated medial plateau injuries represent more severe injury mechanisms Such injuries typically involve both lateral collateral and. The tibial plateau is the weight-bearing surface of the tibia at the knee joint and is important as the knee is a high load-bearing joint. This is an outpatient surgery and the use of crutches or protected weight bearing after surgery is not indicated. A tibial plateau fracture is a minor to severe breakage of the top part of the tibia along with the cartilage that make up the bottom portion of the knee. If this is the case, the implant may be removed after 12 months. Some patients complain of mild irritation from the tibial plate. Full recovery for most proximal tibia fractures takes 6-8 months. Pool therapy is very useful during this time as it allows for some motion without putting stress on the surgical repair. Most patients with tibia plateau fractures heal but the recovery process is fracture and patient dependent. Many reports in the 1970s and beyond suggest that open reduction and internal fixation is indicated for most displaced tibial plateau fractures. Most patients are treated with a low molecular weight heparin medication for the first two weeks after surgery. A Tibial plateau fracture is a fracture of the upper surface of the tibia bone. Tibial plateau fractures have been documented in the literature as early as the 1820s, and the mainstay of treatment was nonoperative until the 1950s. The biggest risk after surgery is blood clots in the veins of the legs and pelvis. Post-operative range of motion and weight bearing protocols depend on the extent of the injury and the quality of the surgical fixation. Surgery focuses on realigning the joint surface and holding it in place with plates and screws. Some of the worst complications of these fractures occur when the surgical repair is performed too early and the soft tissue around the knee breaks down. This is followed by definitive internal fixation with plates and screws when the soft tissue is more amenable to a surgical incision. Severe injuries often require a staged approach with an external fixation device that spans the knee to allow the soft tissues around the knee time to “cool off”. If the joint surface is disrupted or incongruent then surgical repair to realign and stabilize the fractures is advised. Delayed diagnosis can cause persistent knee pain and can lead to deformity of the joint. Insufficiency fracture of the tibial plateau is a rare diagnosis. Like many other fractures, these run the spectrum from non-displaced, low energy injuries to high energy, severely displaced fractures. Tibial plateau fractures may directly extend to the articular surfaces of the weight-bearing joint. Fractures of the upper portion of the tibia which involve the joint surface are referred to as tibial plateau fractures.
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